* Scholarship program available for persons of modest income, in exchange of a few hours voluntary work per week (maximum 8 hours).To apply for a scholarship, please fill the form below. Obtaining a scholarship will be based on the person's income and assets.

Registration form

Please fill in the following fields to register for this DSSI training program

Personal information

Name *

First name *

Date of birth *

Year

Month

Day

Nationality *

Marital status *

Address *

Phone *

Email *

Your Picture *

Please include a jpg file of 2MB or less, and then click submit.Files must be less than 2 MB.Allowed file types: jpg.

Professional information

Profession *

Employer *

Since *

Year

Month

Day

Letter of intention *

Please include a letter of intention in the space above, explaining why you are interested in this course, and thank you for sharing with us how this course will help you in your inner path on the personal, family, professional levels, etc. (500-800 words= 1page)

Confirmation *

By ticking the box, you confirm your participation in DSSI Therapist Degree 1, from February 2020 to December 2020.

Request for a DSSI scholarship (optional; modest income only)

Universe/City Mikaël (UCM) is happy to assist people with a modest income who wish to participate in this Training course by offering a scholarship, in exchange of a few hours voluntary work per week (maximum 8 hours). In order to define whether you are eligible, please complete the information requested below.
N.B. This information will remain completely confidential.

Family Situation

Number of children and their ages, if applicable

Personal evaluation

Annual income

Savings

Investments

Real estate (property, inheritance)

Spouse’s evaluation, if applicable

Annual income

Savings

Investments

Real estate (property, inheritance)

Remarks

Confirmation

By ticking the box, you understand that If your request for a scholarship is granted, you will be asked to do a few hours voluntary work per week (maximum 8 hours) depending on the amount of the scholarship. These voluntary service hours may be established within UCM Fondation's non-profit Organization, in accordance with your personal talents and interests.